DR. BENJAMIN DAVID WALRATH MD
NPI 1356497168
Emergency Medicine in Chula Vista, CA
About Dr. Benjamin David Walrath Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN DAVID WALRATH MD (NPI 1356497168) is an individual emergency medicine provider in Chula Vista, California, licensed in Virginia (0101241798) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Rush Medical College Of Rush University (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin David Walrath Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Benjamin Walrath reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78249
- Reassigned Medicare billing, Texas enrollment
- 379 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Gonzales, TX 78629
- Reassigned Medicare billing, Texas enrollment
- 430 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 153 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospital
Acute Care Hospitals · San Antonio, TXMethodist Hospital Stone Oak
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Walrath's NPI number?
The NPI number for Benjamin Walrath is 1356497168. It was assigned to this individual provider in the NPPES registry on January 25, 2007.
Where is Benjamin Walrath located?
Benjamin Walrath practices at 449 Corte Calypso, Chula Vista, CA 91914. The listed phone number is (312) 371-2612.
What is Benjamin Walrath's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Benjamin Walrath enrolled in Medicare?
Yes. Benjamin Walrath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Benjamin Walrath's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Walrath reassigns Medicare benefits to 5 organizations: Third Coast Emergency Physicians Southwest PA (San Antonio, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Travis County Emergency Physicians PA (Austin, TX), Victoria Emergency Partners LLC (Gonzales, TX) and Victoria Emergency Associates LLC (Victoria, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Walrath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Walrath accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Benjamin Walrath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Walrath affiliated with any hospitals?
According to CMS data, Benjamin Walrath is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.
When was this NPI record last updated?
The NPPES record for Benjamin Walrath was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Benjamin David Walrath, MD · NPI 1356497168
Emergency Medicine physician in Chula Vista, California. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1356497168 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0101241798 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 449 CORTE CALYPSO, Chula Vista, CA 91914-4433
- **Phone:** (312) 371-2612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Third Coast Emergency Physicians Southwest PA (NPI 1497793475, San Antonio, TX); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); Victoria Emergency Partners LLC (NPI 1164770996, Gonzales, TX); Victoria Emergency Associates LLC (NPI 1407917164, Victoria, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2005
## Record status
- **NPPES last updated:** August 29, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1356497168) · Data from the CMS NPPES public registry.